Self‐compassion and emotion regulation difficulties in obsessive–compulsive disorder

• Published in: Clinical psychology and psychotherapy Vol. 27; no. 5; pp. 630 - 639
• Main Authors: Eichholz, Angelika, Schwartz, Caroline, Meule, Adrian, Heese, Julia, Neumüller, Jakob, Voderholzer, Ulrich
• Format: Journal Article
• Language: English
• Published: England John Wiley and Sons, Limited 01.09.2020
• Subjects: difficulties in emotion regulation; inpatient; obsessive beliefs; Obsessive compulsive disorder; Self compassion; obsessive beliefs; difficulties in emotion regulation; inpatient; obsessive-compulsive disorder; self-compassion
• ISSN: 1063-3995; 1099-0879
• DOI: 10.1002/cpp.2451

Lack of self‐compassion and deficits in emotion regulation are associated with various psychopathological symptoms and may play a role in the development and maintenance of obsessive–compulsive disorder (OCD). However, further empirical research is still needed to better understand these constructs in the context of this disorder. The present study investigated the relation between self‐compassion, emotion regulation difficulties, obsessive beliefs, and obsessive–compulsive symptom severity in 90 patients with OCD using self‐report questionnaires. Symptom severity and obsessive beliefs were negatively correlated to self‐compassion and positively associated with emotion regulation difficulties. Additionally, self‐compassion showed a negative relation to emotion regulation difficulties. Emotion regulation difficulties—but not self‐compassion—predicted symptom severity when controlling for obsessive beliefs and depression in a hierarchical regression analysis. Further analyses showed that emotion regulation deficits mediated the relationship between self‐compassion and OCD symptom severity. Our results provide preliminary evidence that targeting self‐compassion and putting more emphasis on emotion regulation deficits might be promising treatment approaches for patients with OCD. Future studies could investigate which specific interventions that directly address these variables improve treatment outcome.